By picking out one letter in each column of teeth, solvers can spell out six different carnival games, one per clown. (RING TOSS, FASCINATION, SKEEBALL, DUCK POND, WHACK-A-MOLE, and CORNHOLE)
The remaining letters spell out YOU MIGHT NEED THIS PROFESSIONAL IF YOUR TEETH LOOKED LIKE THIS. The clowns in the puzzle clearly need a DENTIST. The seven balls at the bottom serve as an indication of the length of the answer, in case there was any doubt.